Individual provider · NPI-1

Miranda Johnson Davis, M.S. CCC-SLP

Speech-Language Pathologist, · Prattville, AL

NPI number1912648932
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1912648932
Entity type
Individual (NPI-1)
Name
Mrs. Miranda Johnson Davis
Credential
M.S. CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2022
Certification date
Apr 4, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

115 N Memorial Dr
Prattville, AL 36067-3336

Phone 334-491-0066

Mailing address

6904 County Road 9
Tyler, AL 36785-5033

Phone 334-413-0038

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